Respiratory dysfunction is common in children with acyanotic congenital heart defects ACHD with pulmonary hyperflow; however, little is known about the pulmonary structure of those patients. The objective of this study was to quantify the volumes of air and tissue, as well as the distribution of pulmonary aeration in this population.. After approval by the Ethics Committee of the institution and signing of an informed consent, seven children with ACHD with pulmonary hyperflow underwent computed tomographies of the chest. All images included the left and right pulmonary contour, and pulmonary volumes and weight were calculated using volumetric data. Paired Student t test was used to compare left and right, and exponential regression was used for correlations.. Patients had a mean age of 20 months and weight of 9.
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Congenital heart disease in Mexico. Regionalization proposal. Recibido el 29 de octubre de Aceptado el 9 de febrero de La prevalencia reportada a nivel mundial va de 2. Congenital cardiopathies are the most frequent congenital malformations. Reports of its prevalence around the world range from 2. Prevalence in our country remains unknown, but it probably occupies sixth place for mortality in infants less than a year old, and third place for mortality in those aged between 1 and 4 years.
Based on birthrate, it is calculated that 10 to 12 infants in our country have some cardiac malformation. To understand the magnitude of the problem, it is important to identify the global number of newborns with some congenital cardiopathy each year and the type of malformation that they have, in order to determine the necessary resources and to plan their distribution.
The main objective of regionalization is the justification of the resources with an emphasis in the specialized medical services to provide the best results for the patients.
Hence, reason, based on the resources of each state, as well as their natality and infant mortality rates related to congenital cardiovascular pathology, we should proceed to regionalize the attention, and to simultaneously create a trustworthy database of the congenital cardiopathies.
Key words: Cardiac surgery; Congenital heart disease; Regionalization; Mexico. Hoffman y colaboradores, 15 reportaron que en Estados Unidos entre y , nacieron 1.
El promedio de riesgo de mortalidad, referido para los diversos niveles corresponden a: riesgo 1: 0. Estos procedimientos se agrupan en cuatro niveles de riesgo: 1: 1. Editorial Intersistemas. Samanek M. Congenital heart malformations: prevalence, severity, survival and quality of life. Congenital heart disease in 56, births.
Incident and natural history. Fyler DC. Report of the New England regional infant cardiac program. Mortalidad por defectos al nacimiento. Mortalidad infantil. Alva EC. Bennerman CH, Mahalu W. Congenital heart disease in Zimbabwean children. Toefler OB. Congenital heart disease in aboriginals. Congenital heart disease in South African Bantgu: a report of cases.
Schrire V. El Hag AI. Shann MKM. Congenital heart disease in Taiwan, Republic of China Hoffman JI, Kaplan S. The incident of congenital heart disease.
Mortality associated with congenital heart defects in the United States. Trends and racial disparities. Mavroudis C, Jacobs JP. Congenital heart surgery nomenclature and database project: overview and minimum dataset. Does the Aristotle score predict outcome in congenital heart surgery?. The empirical relation between surgical volume and mortality.
Can regionalization decrease the number of deaths for children who undergo cardiac surgery? A theoretical analysis. Spiegelhalter DJ. Mortality and volume of cases in paediatric cardiac surgery: retrospective study based on routinely collected data. The effect of surgical case volume on outcome after the Norwood procedure. Centralization of Pediatric Heart Surgery in Sweden.
Congenital heart disease outcome analysis: methodology and rationale. Monro JL. Surgery for congenital heart disease in Europe Igual A, Saura E. Servicios Personalizados Revista. Similares en SciELO. Abstract Congenital cardiopathies are the most frequent congenital malformations. Referencias 1.
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